Tuvusertib Combined With Niraparib or Lartesertib in Participants With Epithelial Ovarian Cancer (DDRiver EOC 302)
An Open-label, Multicenter, Randomized Phase 2 Study of the ATR Inhibitor Tuvusertib in Combination With the PARP Inhibitor Niraparib or the ATM Inhibitor Lartesertib in Participants With BRCA Mutant and/or Homologous Recombination deficiency (HRD)-Positive Epithelial Ovarian Cancer That Progressed on Prior PARP Inhibitor Therapy (DDRiver EOC 302)
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Phase 2
Contacts and Locations
Study Contact
Study Contact
- Name: US Medical Information
- Phone Number: 888-275-7376
- Email: eMediUSA@emdserono.com
Study Contact Backup
- Name: Communication Center
- Phone Number: +49 6151 72 5200
- Email: service@emdgroup.com
Study Locations
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Camperdown, Australia
- Chris O'Brien Lifehouse
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Kogarah, Australia
- St George Private Hospital
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Liverpool, Australia
- Liverpool Hospital - PARENT
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Brussels, Belgium
- Cliniques Universitaires Saint-Luc - STL
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Leuven, Belgium
- UZ Leuven
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Aalborg, Denmark
- Ålborg Universitets Hospital - PARENT
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Copenhagen, Denmark
- Rigshospitalet
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Odense, Denmark
- Sjaellands Universitetshospital - other
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Angers, France
- ICO - Site Paul Papin - service d'oncologie medicale
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Caen, France
- Centre Francois Baclesse - Service d'Oncologie Medicale
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Lille, France
- Centre Oscar Lambret - service de cancerologie gynecologique
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Lyon, France
- Centre Leon Berard - Service d'Oncologie Medicale
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Paris, France
- Groupe Hospitalier Diaconesses - Hôpital De La Croix Saint Simon - service d'oncologie medicale
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Paris, France
- Hôpital Cochin - Hematologie et Oncologie Médicale
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Paris, France
- Hopital Tenon - service d'oncologie medicale
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Paris, France
- Hôpital Européen Georges Pompidou - Hématologie Oncologie
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Paris, France
- Hôpital Saint Joseph - Paris - Service d'Oncologie-Cancerologie
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Pierre-Bénite, France
- Centre Hospitalier Lyon Sud - service d'oncologie medicale
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Strasbourg, France
- Institut de Cancérologie de Strasbourg Europe - ICANS - Service d'oncologie médicale
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Strasbourg, France
- Centre de Radiotherapie Clinique Sainte Anne - 300207251
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Villejuif, France
- Institut Gustave Roussy - Oncologie Médicale
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Berlin, Germany
- Charité - Campus Virchow-Klinikum - Klinik fuer Gynaekologie
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Bonn, Germany
- Universitaetsklinikum Bonn AoeR - Frauenklinik
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Dresden, Germany
- Universitaetsklinikum Carl Gustav Carus TU Dresden - Klinik u. Poliklinik f. Frauenheilkunde
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Essen, Germany
- Kliniken Essen-Mitte - Gynaekologie und Gynaekologische Onkologie
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Leipzig, Germany
- Universitaetsklinikum Leipzig AoeR - Klinik und Poliklinik fuer Frauenheilkunde
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Münster, Germany
- Universitaetsklinikum Muenster - Parent
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Münster, Germany
- Universitätsklinikum Münster - Gynecology
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Regensburg, Germany
- Caritas-Krankenhaus St. Josef - Klinik fuer Chirurgie
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Tübingen, Germany
- Universitaetsklinikum Tuebingen - Parent
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Haifa, Israel
- Rambam Medical Center
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Haifa, Israel
- The Lady Davis Carmel Medical Center
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Jerusalem, Israel
- Shaare Zedek
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Jerusalem, Israel
- Hadassah University Hospital - Ein Kerem
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Ramat Gan, Israel
- Chaim Sheba Medical Center
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Bologna, Italy
- Azienda Ospedaliera Universitaria Policlinico Sant'Orsola Malpighi IRCCS - Oncologia Medica
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Bologna, Italy
- IRCCS Azienda Ospedaliero Universitaria di Bologna Policlinico di Sant Orsola - SSD Oncologia Medica Zamagni
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Catania, Italy
- Osp Cannizzaro Catania
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Catanzaro, Italy
- Azienda Ospedaliero-Universitaria Renato Dulbecco - Centro Oncologico
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Milan, Italy
- IEO Istituto Europeo di Oncologia - Unità Ginecologia Oncologica Medica
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Milan, Italy
- Istituto Clinico Humanitas - U.O. di Oncologia Medica ed Ematologia
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Naples, Italy
- Istituto Nazionale Tumori Fondazione G. Pascale - Gynecology
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Padova, Italy
- IOV - Istituto Oncologico Veneto IRCCS - Radiologia Oncologica
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Roma, Italy
- Istituto Nazionale Tumori Regina Elena IRCCS - UOC Oncologia Medica A
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Rome, Italy
- Fondazione Policlinico Universitario Agostino Gemelli IRCCS - UOC Ostetricia e ginecologia
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Eindhoven, Netherlands
- Catharina Ziekenhuis Eindhoven - Parent
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Bydgoszcz, Poland
- Centrum Onkologii im. Prof. F. Lukaszczyka w Bydgoszczy - Dept of Chemotherapy
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Gdynia, Poland
- Szpitale Pomorskie spó
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Krakow, Poland
- Jagiellonskie Centrum Innowacji Sp. z o.o. - Centrum Bada
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Lodz, Poland
- Instytut MSF Sp.z.o.o
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Otwock, Poland
- Europejskie Centrum Zdrowia - Oddzial Onkologii
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Torun, Poland
- MICS Centrum Medyczne Torun - Medicovernn
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Badalona, Spain
- ICO Badalona - Hospital Universitari Germans Trias i Pujol - Servicio de Oncologia Medica
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Barcelona, Spain
- Hospital Universitari Vall d'Hebron - Oncology Dept.
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Barcelona, Spain
- Hospital Clinic de Barcelona - Servicio de Oncologia
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Girona, Spain
- ICO Girona - Hospital Universitari de Girona Dr Josep Trueta - Servicio de Oncologia Medica
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Madrid, Spain
- Hospital Universitario 12 de Octubre - Servicio de Oncologia
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Madrid, Spain
- Hospital Universitario Ramon y Cajal - Servicio de Oncologia
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Madrid, Spain
- Clinica Universidad de Navarra (MAD) - Oncology Service
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Málaga, Spain
- Hospital Regional Universitario de Malaga - Oncology Dept
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Bellinzona, Switzerland
- Istituto Oncologico della Svizzera Italiana (IOSI)- Ente Ospedaliero Cantonale (EOC) - Ospedale S.Giovann
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Frauenfeld, Switzerland
- Kantonsspital Frauenfeld - 150509250
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Liestal, Switzerland
- Kantonsspital Baselland - standort Liestal - Klinik fuer Onkologie
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Sankt Gallen, Switzerland
- Kantonsspital St. Gallen - Klinik fuer Med. Onkologie/Haematologie
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Zurich, Switzerland
- Universitaetsspital Zuerich - Klinik fuer Gynaekologie
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Cambridge, United Kingdom
- Addenbrooke's Hospital - Dept of Oncology
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Glasgow, United Kingdom
- Beatson West of Scotland Cancer Centre - Dept of Medical Oncology
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Guildford, United Kingdom
- Royal Surrey County Hospital - Dept of Oncology
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Leeds, United Kingdom
- St James's University Hospital - Dept of Oncology
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London, United Kingdom
- University College London Hospitals - NIHR/Wellcome Trust
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London, United Kingdom
- Royal Marsden Hospital-London - Dept of Haematology/Oncology Research
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London, United Kingdom
- Guy's Hospital - Dept of Medical Oncology
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Manchester, United Kingdom
- The Christie Hospital - Dept of Oncology
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Northwood, United Kingdom
- Mount Vernon Hospital - Dept of Oncology
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Sutton, United Kingdom
- Royal Marsden Hospital-Sutton - Dept of Oncology (Surrey)
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Arkansas
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Little Rock, Arkansas, United States, 72205
- University of Arkansas for Medical Sciences
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California
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San Francisco, California, United States, 94158
- University of California San Francisco - UCSF Medical Center
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Georgia
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Columbus, Georgia, United States, 31904
- Centricity Research Cancer Center - DBA CRRI John B. Amos Cancer Center Research
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Illinois
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Chicago, Illinois, United States, 60637
- University of Chicago Comprehensive Cancer Center at Silver Cross - Carolyn J. Czerkies Pavilion
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Michigan
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Ann Arbor, Michigan, United States, 48109
- University of Michigan Rogel Cancer Center
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New York
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New York, New York, United States, 10021
- Memorial Sloan Kettering Cancer Center
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New York, New York, United States, 10029
- Icahn School of Medicine at Mount Sinai PRIME - Mount Sinai - PRIME
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Virginia
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Fairfax, Virginia, United States, 22031
- Virginia Cancer Specialists, PC
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Fairfax, Virginia, United States, 22031
- Next Oncology - Virginia
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Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
- Adult
- Older Adult
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Histologically or cytologically confirmed high grade serous or high grade endometrioid ovarian, primary peritoneal, and/or fallopian tube cancer that is recurrent.
- Participants whose tumor carries germline or somatic deleterious or suspected deleterious mutations in the genes BRCA1 (Breast Cancer gene 1) and BRCA2 (Breast Cancer gene 2), and/or tumors with positive HRD status. The presence of any of these mutations and/or the homologous recombination deficiency (HRD) status will be determined according to routinely used local standard of care tests. Results must be available before screening.
- Radiologically confirmed/documented disease progression while on Poly (ADP-ribose) polymerase (PARP) inhibitors therapy in either first or second-line maintenance setting (only 1 line of PARPi maintenance is allowed with or without bevacizumab). Note: Documentation of disease progression must be within 28 days of last PARPi dose taken. Surgical salvage intervention and/or focal ablative therapies are allowed, (further disease progression after these interventions must be documented), AND Clinically benefited from PARPi maintenance prior to documented progression, as defined by at least 6 months of treatment duration with no progressive disease observed, AND either, Progression on first-line maintenance PARPi: Participants are allowed maximum 1 additional line of platinum-based chemotherapy before study entry. (note: treatment-free interval on platinum rechallenge must be >6 months, with documented disease progression prior to study entry).
OR Progression on second-line maintenance PARPi: Participants are not allowed any additional systemic anticancer treatments before study entry (that is PARPi is the last treatment before study entry)
- Intolerant to standard of care treatment options or refused standard of care treatment or the participant's treating physician considers that the lack of standard of care treatment is not detrimental for the participant.
- Measurable disease per RECIST v1.1, as assessed by Investigator.
- Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1 and a life expectancy of at least 6 months.
- Other Protocol defined inclusion criteria could apply.
Exclusion Criteria:
- Primary platinum-refractory disease defined as disease progression during primary platinum-based chemotherapy or platinum-resistant disease defined as disease progression within 6 months of the platinum administration in either the first or second-line setting.
- History of additional malignancy within 3 years before the date of enrollment.
- Known brain metastases, unless clinically stable, that is without evidence of progression by imaging for at least 4 weeks prior to the first dose of study intervention, no evidence of new brain metastases, and on a stable or decreasing dose of ≤ 10 mg of prednisone (or equivalent) or without corticosteroids for at least 14 days prior to study intervention administration.
- Active and/or uncontrolled infection.
- History of known hypersensitivity to the active substances or to any excipients (e.g. polysorbate 80) of the study interventions.
- Organ transplantation, including allogenic stem cell transplant.
- Patients with history of drug-induced severe cutaneous adverse reaction (SCAR; including but not limited to Stevens-Johnson syndrome/toxic epidermal necrolysis [SJS/TEN], or drug reaction with eosinophilia and systemic symptoms [DRESS]), or dose-limiting immune-mediated reactions related to skin.
- Other Protocol defined exclusion criteria could apply.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
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Experimental: Part A, Arm 1: Tuvusertib with Niraparib
In Part A, participants will be randomized to one of 2 arms to receive tuvusertib in combination with either niraparib or lartesertib.
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Tuvusertib will be administered orally.
Other Names:
Niraparib will be administered orally.
If selected from Part A, Niraparib will be administered orally in combination with Tuvusertib.
Other Names:
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Experimental: Part A, Arm 2: Tuvusertib with Lartesertib
In Part A, participants will be randomized to one of 2 arms to receive tuvusertib in combination with either niraparib or lartesertib.
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Tuvusertib will be administered orally.
Other Names:
Lartesertib will be administered orally.
If selected from Part A, Lartesertib will be administered orally in combination with Tuvusertib
Other Names:
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Experimental: Part B (dose optimization), dosing regimen 1 :Tuvusertib+Niraparib or Tuvusertib +Lartesertib
In Part B, the most favorable combination treatment from Part A will be further explored at 2 different dosing regimens and compared to tuvusertib monotherapy.
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Tuvusertib will be administered orally.
Other Names:
Niraparib will be administered orally.
If selected from Part A, Niraparib will be administered orally in combination with Tuvusertib.
Other Names:
Lartesertib will be administered orally.
If selected from Part A, Lartesertib will be administered orally in combination with Tuvusertib
Other Names:
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Experimental: Part B (dose optimization), dosing regimen 2: Tuvusertib + Niraparib or Tuvusertib + Lartesertib
In Part B, the most favorable combination treatment from Part A will be further explored at 2 different dosing regimens and compared to tuvusertib monotherapy.
|
Tuvusertib will be administered orally.
Other Names:
Niraparib will be administered orally.
If selected from Part A, Niraparib will be administered orally in combination with Tuvusertib.
Other Names:
Lartesertib will be administered orally.
If selected from Part A, Lartesertib will be administered orally in combination with Tuvusertib
Other Names:
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Experimental: Part B: Tuvusertib Monotherapy
In Part B, the most favorable combination treatment from Part A will be further explored at 2 different dosing regimens and compared to tuvusertib monotherapy.
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Tuvusertib will be administered orally.
Other Names:
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What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Time Frame |
|---|---|
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Part A and Part B: Confirmed Objective Response (OR) According to RECIST v1.1 as Assessed by Investigator
Time Frame: Time from randomization to final assessment or until progressive disease, death, discontinuation criteria, approximately up to 3.5 years
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Time from randomization to final assessment or until progressive disease, death, discontinuation criteria, approximately up to 3.5 years
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Part A and Part B: Number of Participants With Treatment-Emergent Adverse Events (TEAE), Serious TEAEs and Related TEAEs
Time Frame: Time from randomization to final assessment at end of safety follow-up visit, approximately up to 3.5 years
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Time from randomization to final assessment at end of safety follow-up visit, approximately up to 3.5 years
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Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
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Part A and Part B: Duration of Response (DoR) According to RECIST 1.1 as Assessed by the Investigator
Time Frame: Time from randomization to final assessment or until progressive disease, death, discontinuation criteria, approximately up to 3.5 years
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Time from randomization to final assessment or until progressive disease, death, discontinuation criteria, approximately up to 3.5 years
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Part A and Part B: Progression Free Survival (PFS) According to RECIST 1.1 as Assessed by the Investigator
Time Frame: Time from randomization to final assessment or until progressive disease, death, discontinuation criteria, approximately up to 3.5 years
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Time from randomization to final assessment or until progressive disease, death, discontinuation criteria, approximately up to 3.5 years
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Part B: Overall Survival
Time Frame: Time from date of randomization to death, approximately 3.5 years
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OS is defined as the time from randomization to death due to any cause.
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Time from date of randomization to death, approximately 3.5 years
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Collaborators and Investigators
Sponsor
Sponsor
Collaborators
Collaborators
Investigators
Investigators
- Study Director: Medical Responsible, EMD Serono Research & Development Institute, Inc.
Publications and helpful links
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Actual)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
- Urogenital Diseases
- Genital Diseases
- Endocrine System Diseases
- Nervous System Diseases
- Urogenital Neoplasms
- Neoplasms by Site
- Neoplasms
- Female Urogenital Diseases
- Female Urogenital Diseases and Pregnancy Complications
- Neuromuscular Diseases
- Genetic Diseases, Inborn
- Peripheral Nervous System Diseases
- Genital Diseases, Female
- Endocrine Gland Neoplasms
- Neurodegenerative Diseases
- Ovarian Diseases
- Adnexal Diseases
- Genital Neoplasms, Female
- Gonadal Disorders
- Congenital Abnormalities
- Heredodegenerative Disorders, Nervous System
- Nervous System Malformations
- Polyneuropathies
- Congenital, Hereditary, and Neonatal Diseases and Abnormalities
- Ovarian Neoplasms
- Hereditary Sensory and Autonomic Neuropathies
- Poly(ADP-ribose) Polymerase Inhibitors
- Antineoplastic Agents
- Molecular Mechanisms of Pharmacological Action
- Enzyme Inhibitors
- niraparib
Other Study ID Numbers
Other Study ID Numbers
- MS201924_0002
- 2024-511202-23-00 (Other Identifier: EU trial number)
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
IPD Plan Description
IPD Sharing Time Frame
IPD from completed trials will be publicly available within 6 months after all of the following events:
- Approval of a product/new indication by major authorities (FDA, EMA, PMDA if requested) with no pending submissions
- Public results via primary manuscript or trial registry disclosure
- Legal authority to share data
- Privacy protections are in place If approval is not sought or development is globally discontinued, data will be publicly available within 18 months after global trial completion. Further information on how to request data can be found on our website bit.ly/IPD21
IPD Sharing Access Criteria
IPD Sharing Supporting Information Type
- STUDY_PROTOCOL
- SAP
- ANALYTIC_CODE
- CSR
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.